Organization
YOUNG M D AND BOOHAR M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
C DALE YOUNG MD (PRESIDENT)
(209) 342-2300
Entity
Organization
Contact information
Practice address
170 ALAMEDA DE LAS PULGAS, SEQUOIA HOSPITAL RADIATION ONCOLOGY DEPT, REDWOOD CITY, CA 94062
(209) 342-2300
(209) 524-4240
Mailing address
450 GLASS LN STE C, MODESTO, CA 95356-9287
(209) 342-2300
(209) 524-4240
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
36770
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE9312
RAIL ROAD MEDICARE
CA
05
—
GR0102110
—
CA
01
—
ZZZ77080Z
BLUE SHIELD
CA
Enumeration date
01/06/2006
Last updated
12/17/2025
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